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1336356005
CELIA SUSAN MARTIN
LAKE CITY, FL
NPI
1336356005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL DN 10106)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Dr. CELIA SUSAN MARTIN D.M.D
701 SW STATE ROAD 47
LAKE CITY, FL 32025-0453
Phone number: 386-755-1001
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Mailing Address
Dr. CELIA SUSAN MARTIN D.M.D
701 SW STATE ROAD 47
LAKE CITY, FL 32025-0453
Phone number: 386-755-1001
Copy
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